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Individual
JAMES R QUALLS
Active
Individual
JAMES R QUALLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
BP10038570
TX
207Q00000X
Family Medicine Physician
Primary
P0656
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1L8412
MEDICARE
TX
05
—
324380002
—
TX
01
—
P02604877
RR MCR
TX
Enumeration date
06/10/2011
Last updated
05/12/2021
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